-
Edi Claims Specialist
3 weeks ago
MedPOINT Management Woodland Hills, United States**Summary**: · The EDI Claims Specialist is responsible for retrieving, processing, validating, and posting electronic claim data files into MPM's core system, EZ-CAP. Reporting to the Supervisor, EDI Claims, the EDI Claims Specialist will ensure all files are processed timely an ...
-
Claims Contract Specialist
2 weeks ago
REGAL MEDICAL GROUP, INC Northridge, United States**Position Summary**: · Provides support in the ongoing maintenance and configuration of Regal Medical Group systems, including but not limited to the data entry of Contracting Database, Providers, Vendors, Fee schedules, Capitation Configuration. Performs system maintenance func ...
-
Claims Specialist
1 week ago
Social Security Administration - Montebello, CA Montebello, United States_SSA is seeking individuals with exceptional customer service skills for a Claims Specialist (CS) position in the Montebello, CA District Office. The CS position is an entry level position for SSA's field offices. This is a career ladder position with promotion potential to the G ...
-
Claims Specialist
2 weeks ago
Social Security Administration Los Angeles, United States_**This is an open call for resumes from Veterans, **_**VRA eligible, 30% or more disabled, VA Training Program, and Military spouses**_**. This is not a guarantee of employment.**_ · For consideration at SSA under non-competitive hiring authorities for veterans, please visit to ...
-
Claims Specialist
1 week ago
Talent Ocean Los Angeles, United StatesResponsible for comprehensive review, analysis, negotiation, and recommendations for resolution of design and construction claims. · - Also responsible for developing and implementing claims avoidance strategies and claims mitigation measures. · - Responsible for managing a team ...
-
Claim Specialist
4 weeks ago
State Farm Mutual Automobile Insurance Company Van Nuys, CA, United StatesClaim Specialist - Property Field Inspection US-CA-Van Nuys Job ID: · Type: Regular Full Time · # of Openings: 1 · Category: Claims and Investigation · Van Nuys, CA Overview Build your career at one of the top companies for professional growth in the U.S. Khakis optional... · ...
-
Claims Review Specialist
1 week ago
Global IT Resources Los Angeles, United StatesOverview: · We are seeking a highly organized and detail-oriented Claims Specialist to join our team. As a Claims Specialist, you will be responsible for processing and managing insurance claims, ensuring accuracy and compliance with relevant regulations and policies. This is a v ...
-
Claims Review Specialist
2 weeks ago
Global Healthcare IT Los Angeles, United States**99% remote, only the orientation will be onsite and a few meetings when necessary.** · **CPC-H, CPC, or CCS coding certification required.** · Job Summary: · **Responsibilities**: · - Review and process medical claims for accuracy and completeness · - Verify insurance coverage ...
-
Claims Review Specialist
3 weeks ago
Diversified Technologies Inc. (DTI) Los Angeles, United States**Location: Los Angeles, CA This will be 99% remote, only the orientation will be onsite and a few meetings when necessary)** · - Bachelor's degree in business, finance or related field · - CPC-H, CPC, or CCS coding certification · - Five or more years of experience with hospital ...
-
Insurance Claims Specialist
2 weeks ago
ACCO Engineered Systems Pasadena, United States**General Job Description**: · **Supervises**: · - **None** · **Essential Duties & Responsibilities** · - Gather data and File third party property damage claims, third party injury claims, automobile accident claims, property claims, and workers compensation claims with the carr ...
-
Medical Claims Specialist
3 weeks ago
Binding Minds Whittier, United States_***:_ · - The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patie ...
-
Claims Specialist I
2 weeks ago
C2PM Los Angeles, United States**About C2PM**:C2PM stands at the forefront of the construction consulting landscape, offering a full spectrum of program management, construction management, and specialized engineering services. We pride ourselves on tackling public works infrastructure, transportation, aviatio ...
-
Medical Claims Review Specialist
1 week ago
NavitsPartners Los Angeles, United States**Position**: Medical Claims Review Specialist · **Location**: 10920 Wilshire Blvd, Los Angeles, CA 90024 · **Duration**: 24 week contract · **SHIFT**: M-F 8-5 · **Note**: This position is 99% remote, with only the orientation and occasional meetings requiring onsite presence. · ...
-
Senior Claims Specialist
3 weeks ago
Marsh & McLennan Companies Van Nuys, United StatesCompany: · Marsh McLennan Agency · Description: · SENIOR CLAIMS SPECIALIST · DEPARTMENT: CLAIMS · STATUS: EXEMPT · EMPLOYEE TYPE: FULL-TIME · LOCATION: VAN NUYS · Our not-so-secret sauce. · Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a ...
-
Claims Specialist
2 weeks ago
Providence Health & Service Mission Hills, United StatesResponsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustm Claims, Claims Specialist, Pr ...
-
Claims Specialist
2 weeks ago
Providence Health & Service Mission Hills, United StatesJob Description · Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and cla ...
-
Senior Claims Specialist
3 weeks ago
Providence Health & Service Mission Hills, United StatesJob Description · The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, per diem, case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of ...
-
Property Claims Specialist Field I
2 days ago
Mercury Insurance Services, LLC Simi Valley, United StatesJoin an amazing team that is consistently recognized for our achievements and culture, including our most recent Forbes award of being one of America's Best Midsize Employer for 2024 · **Position Summary**: · If you're passionate about helping people restore their lives when the ...
-
inAssist Torrance, United StatesBe a part of a rapidly growing and dynamic healthcare company · **Job Role**: · - Performs high volume of manual submissions of multi-specialty medical billing for out of network claims · - Prepares, creates, reviews and submits claims thru paper claims processing · - Consistentl ...
-
Claims Specialist
3 weeks ago
HUB International Los Angeles, United StatesBreaking Boundaries for 25 years - and counting. · The world is rapidly changing, and HUB is here to advise businesses and individuals on how to prepare for the unexpected. With more than 530 HUB offices across North America and ranked 5th among the world's largest insurance brok ...